Provider Demographics
NPI:1548516180
Name:COTTEN, ERIN (LCSW)
Entity type:Individual
Prefix:MS
First Name:ERIN
Middle Name:
Last Name:COTTEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 W CACHE VALLEY BLVD
Mailing Address - Street 2:SUITE 10A
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-8452
Mailing Address - Country:US
Mailing Address - Phone:435-787-2272
Mailing Address - Fax:
Practice Address - Street 1:40 W CACHE VALLEY BLVD
Practice Address - Street 2:SUITE 10A
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-8452
Practice Address - Country:US
Practice Address - Phone:435-787-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7686814-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical